Loganathan, Raghunandan S
Loganathan, Raghunandan S is an individual health care provider with primary practice located at 31-00 Broadway , Fair Lawn NJ 07410-3963. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Loganathan, Raghunandan S can be contacted via phone (973) 777-7377.Contact Information
Primary practice address
31-00 Broadway
Fair Lawn NJ 07410-3963
Phone: (973) 777-7377
Fax: (973) 777-3806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 25MA10658800 | New Jersey |
Profile Details
| NPI number | 1114080827 |
|---|---|
| LBN Legal business name | Loganathan, Raghunandan S |
| Credentials | MD, FCCP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Jan 24th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114080827 | NPPES |
| New York | MEDICAID | 02554534 |
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